Melinda Fox Smith, MCAP, MAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC-011996-2015 Issued in FL

Practice address

319 Blue Sage Rd
Panama City Beach, FL 32413-4701

Phone

(603) 568-2100

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recovery Bay, LLC

  • Substance Abuse Rehabilitation Facility
  • Panama City Beach, FL
  • NPI 1902445687
  NPD
• Journeypure Panhandle LLC

  • Substance Abuse Rehabilitation Facility
  • Panama City Beach, FL
  • NPI 1326454786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1639842040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324083811",
            "telephone_number": "603-568-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BLUE SAGE RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324134701",
            "telephone_number": "603-568-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9721 Thomas Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324083811",
            "country_code": "US",
            "telephone_number": "603-568-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELINDA",
        "middle_name": "FOX",
        "credential": "MCAP, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-011996-2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollen Ayers Slaughter
• Amy Elizabeth Smith, ARNP
• Caylee Smith
• Jenny M Smith, LCSW
• Kathlena M Smith
• Pamela J. Smith, M.S., SLP
• Amanda Smitherman, CRNP
• Tephanie D Soderstrom, PA
• Sommer Lyn Hoyt
• Leona De Guzman Sopko

• Addiction (Substance Use Disorder) Counselor in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.